OB Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5859 Issued in OK

Legal business name

OB DENTAL, LLC

Practice address

1421 E 13TH St
Tulsa, OK 74120-5207

Phone

(918) 585-3744

Fax

(918) 585-3774

NPI assigned

Sep 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles R Keithline, DDS

Title

Managing Member

Phone

(918) 585-3744

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1366775140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E 13TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205207",
            "telephone_number": "918-585-3744",
            "fax_number": "918-585-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E 13TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205207",
            "telephone_number": "918-585-3744",
            "fax_number": "918-585-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "KEITHLINE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-585-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Oakleaf
• Jessica Lynn Oakley, RN
• Oasis Adult Day Services
• Oasis of Love Inc.
• Cailee Dawn Oathout, BACHLORS
• OB GYN Specialists of Tulsa PLLC
• Amna Obaid
• Asalah Obaid
• Kristin Elizabeth Ober, PHD
• Elizabeth Ann Oberlander

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.